Which circumstance may be an exception to obtaining informed consent?
1. The physician feels the disclosure of information might cause the patient to commit suicide.
2. The patient is deaf.
3. The patient has signed a waiver at the suggestion of the primary nurse.
4. The patient is physically unable to sign the consent form.
2
Rationale: The courts recognize emergency situations, therapeutic privilege, patient waiver, and prior patient knowledge as four exceptions to the need for informed consent. Therapeutic privilege exists when the health care provider believes the disclosure of information poses immediate and serious harm to the patient. The patient must initiate a waiver; it cannot be suggested by staff. The fact that the patient is deaf or is physically unable to sign the consent form does not remove the requirement to obtain consent.
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